Distribution: Original - Court File; Copy - Party / Counsel MISC001 REQUEST FOR TELEPHONIC APPEARANCE Rev. 2/28/18 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address and telephone #): STATE BAR NO: ATTORNEY FOR (Name) : FOR COURT USE ONLY MARIN COUNTY SUPERIOR COURT 3501 Civic Center Drive P.O. Box 4988 San Rafael, CA 94913 - 4988 PLAINTIFF / PETITIONER: VS. DEFENDANT / RESPONDENT: REQUEST FOR TELEPHONIC APPEARANCE (California Rule of Court 3.670) CASE NUMBER: HEARING TYPE : DATE: TIME: AM / PM DEPT.: 1. I am the Plaintiff / Petitioner Defendant / Respondent Other: 2. 3. I request to appear telephonically for the following reason: 4. I have filed this request at least twelve (12) court days prior to the hearing and will serve all parties/ attorneys with this form within one (1) court day after filing the form. 5. I understand that the court, in its discretion, may decide to terminate the telephone appearance if it determines during the hearing that I am not available at the calendar call, or delay it due to disruption, noise, misconduct, a communication problem, a technical problem, or other issue. DATE PRINTED NAME SIGNATURE GRANTED DENIED DATE JUDICIAL OFFICER OF THE SUPERIOR COURT American LegalNet, Inc. www.FormsWorkFlow.com